Take control of clinical denials: Experts tips on prevention and appeals management

Tuesday, November 1st, 2022 | 12:00 PM - 1:00 PM CT

In today’s margin-challenged healthcare environment, how organizations tackle denials can make a big difference.

Clinical denials are difficult and expensive to overturn but knowing how to manage and prevent them effectively is key for high-performing teams.

From denials prevention and documentation to appealing like a lawyer, learn expert strategies that help you regain more control of denials and maximize rightful reimbursement.

Key takeaways:

Deal with uncertainty regarding medical necessity and the payor perspective
Tear down data silos between staff and decrease the incidence of front-end denials
Resolve outstanding denied claims quickly and generate revenue

Presenters:

Ronald Hirsch, MD, FACP, CHCQM, CHRI

Vice President, Regulations and Education

R1 RCM Inc. Physician Advisory Solutions

Sarah Mendiola, Esq., LPN, CPC, CPCO

Senior Vice President, Denials

R1 RCM Inc